Bump Fit & Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BUMP FIT & REHAB, LLC

Practice address

4506 Powder Mill Rd
Beltsville, MD 20705-2636

Phone

(240) 484-7757

NPI assigned

Jan 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sigri Reyes, DPTNPI 1467883041

Title

Owner

Phone

(240) 484-7757

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sigri Reyes, DPT

  • Physical Therapist
  • Beltsville, MD
  • NPI 1467883041
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1225668080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 POWDER MILL RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 POWDER MILL RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052636",
            "telephone_number": "240-484-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUMP FIT & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "SIGRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-484-7757",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "address_1": "4506 Powder Mill Rd",
            "city": "Beltsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207052636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shantell Auzuire Brown
• Tayanna Brown
• Lauren Bryant
• Joan Nerissa Buchanan
• Frederick Bumbry
• Talora Burford
• Jordan Burgess
• Jadyn Burks
• Andraleecia Burnett
• Tashera Burrell

• Physical Therapy Clinic/Center in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Physical Therapy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.